In the emergency room, Yue Qiming's face was pale because of the severe pain, and he clenched his teeth and said nothing.

Zhong Yu wore a mask and calmly treated the wound for him, and his wound was in the middle and proximal part of the index finger of his right hand, with a deep defect in soft tissues, a nail defect and a trauma to the nail bed.

Facing the severed limbs of his fingers can make even a man who has experienced a hail of bullets feel uncomfortable.

Yue Qiming turned his head and took a deep breath, he subconsciously diverted his attention, stared at Zhong Yu and asked with a little difficulty:

"Doctor Zhong, what is the probability that my fingers will be connected and able to move freely?"

Zhong Yu said without raising his head: "As long as the emergency surgical repair method is properly selected, there is no obvious impact on the flexion and extension of the distal interphalangeal joint after surgery, the skin flap has good tactile sensation, and there is a high probability that all the skin pieces in the donor valve area will survive."

Yue Qiming is already thirty years old, and it is the time when his physical qualities are the best in all aspects.

He had seen better comrades than him who had to retire because of limb defects, and he sighed for others at the time, but now he worries about himself.

Zhong Yu touched the wound, his painful face distorted slightly, and the wheezing sound intensified, and only after the pain subsided did he plead:

"Doctor Zhong, I don't want to leave and retire yet, so I'll leave my fingers to you."

Zhong Yuting admired his tenacity, tried his best to treat him, and was relieved when he heard this:

"Camp Commander Yue doesn't have to worry too much, this is just a minor operation for me."

There is an anesthesiologist in the emergency room, so there is no need for Chu Jianwen to come, and the operation uses anesthesia with nerve blocks at the roots of both sides and uses thin rubber belts to stop bleeding.

After the anesthetic took effect, Yue Qiming felt a little more comfortable, and he watched Zhong Yu operate on him without squinting.

Zhong Yu completely debrides the wound finger to remove broken and necrotic tissue, foreign bodies or bone fragments.

According to the area of the wound, she drew the required flap size and shape on the palmar side of the middle segment, took any side of the blood vessel as the pedicle, and the setting of the projection point on the body surface of the vascular pedicle into the flap was mostly no more than the distal interphalangeal joint, with a flexion stria of 3mm, and the tangent line of the flap was cut on the opposite side of the pedicle, reaching the superficial layer of the flexor tendon sheath, and the skin flap was lifted in the direction of the pedicle, and the neurovascular bundle and its branches on the pedicle side could not be damaged during the lifting process, and its branches were incorporated into the flap.

In fact, during the dissection of the adjacent pedicle, it is often seen that the transverse branch of the palm can enter the pedicle of the flap, but it is not necessary to deliberately free it.

According to the rotation of the flap, Zhong Yu can cut off and ligate the metacarpal arch composed of the transverse branch of the metacarpal branch and the contralateral branch.

After the dissection is completed, the tourniquet is loosened, the blood supply to the flap is checked, and the bleeding at the edge is observed to be good, and then rotated to the wound in reverse direction and sutured and fixed.

Finger bones that are too protruding should be trimmed appropriately. For the wound in the donor flap area, the wrist pattern was covered with a full-layer skin piece, and the donor skin area was fixed with suture wrapping and compression method and directly sutured.

Immediately after the operation, the capillary response was weak, and the flap was dark blue, Yue Qiming said with some concern:

"Doctor Zhong, isn't the color of this finger right?"

Zhong Yu snorted, not too nervous, she said calmly:

"It's not a big problem, 1 week after taking vasodilators, the capillary reaction will become active, and the skin tone of the flap will also turn ruddy."

Her stability and calmness made Yue Qiming relax as well, and after surviving the catastrophe, he began to look at Zhong Yu curiously.

Before he saw him, he had heard Zhong Yu's name, after all, it was a well-known fact that a powerful female doctor came to the General Hospital of the Military Region, and the several surgeries she took over had remarkable results, especially the recent upper arm amputation and replantation surgery.

With this powerful doctor, he did give many people reassurance, before sending him over, he was not so optimistic, and did not think that he would be cured, but now looking at his wrapped fingers, he was very happy.

And Chief Ji, who was waiting outside the operating room, was inevitably a little anxious, and he walked back and forth in the corridor with his hands behind his back.

Wei Lan was dizzy by him, and said angrily:

"Can't you, old man, sit and wait? I'm dizzy when you're like this. ”

Chief Ji stopped, raised his wrist and looked at his watch, "It's been almost an hour since I went in, why haven't you come out yet?" ”

Wei Lan said helplessly: "That's a finger and not a pinch of mud, so let's get it a little more, let's wait patiently."

As she spoke, she pulled Chief Ji to sit down, and as soon as the two sat down, they saw Ji Xueli hurriedly running in a white coat.

He wasn't surprised to see the two elders, but he didn't have a good breath:

"What are you two doing at the hospital? You don't listen to what I say. ”

He received a call from Dean Luo, saying that after seeing his parents enter Zhong Yu's consultation room, he hurriedly looked around the hospital.

His parents are not unreasonable people, so they are afraid of getting excited, so they didn't guard the door in front of Zhong Yu and said words urging marriage, in case she scared her away, who would he reason with?

Wei Lan saw that her son was sweating and sweating, and said weakly:

"Xueli, don't get excited, we just registered to see a doctor according to the normal process, and we didn't reveal that we were your parents, we just looked at people, and didn't say anything superfluous."

Ji Xueli pushed the glasses on the bridge of his nose and looked at Chief Ji with distrust, "My dad didn't say anything?" ”

Chief Ji snorted and said angrily:

"I don't trust you so much, don't you? If you doubt it again, when Zhong Yu comes out, Lao Tzu will directly pick up your old bottom. ”

Ji Xueli frowned slightly, "Don't disgust people with such trivial things as my pee and mud, since you see people, why don't you leave?" ”

Wei Lan said worriedly: "Qiming of the Osmanthus family was sent to the emergency room just now, and I heard this little soldier say that a large section of his finger was cut off, and your father and I want to wait to see how he is doing."

Ji Xueli and Yue Qiming have known each other since they were children, and they grew up together in the compound, but the two have different personalities, they don't often play together, they just know each other, and they don't have a good relationship.

But this is an acquaintance at the door of the house, and it is not good to ignore it, he said in a deep voice:

"Finger defect repair is local anesthesia, Yue Qiming will come out and see you say hello to you later, you go back first, I'll wait here, I'll call you if there is any problem."

Although Chief Ji was unwilling, he also knew that he couldn't spoil his son's good deeds, so he reluctantly did it:

"Okay, I'm really scared of you, I'll leave with your mother immediately, and when he comes out, you can call me, don't delay time!"

Ji Xueli understands the character of his old man, who loves soldiers like sons, and does not play sloppy with him, and promises:

"I'm sure I'll call you, you can leave quickly, they're coming out soon."

Wei Lan stood up and pulled Chief Ji forward, and the little soldier who was guarding the side was in a fog when he heard it, and he didn't know what this family was going to do, so he heard that they were acquaintances with Camp Commander Yue, so he was a little relieved.

Sure enough, as soon as the old couple left, the door of the emergency room opened, and Zhong Yu was a little surprised to see Ji Xueli when he came out.

"How did you get here, do you have any work arrangements?"

Ji Xueli shook his head, nodded at Yue Qiming first, and then explained:

"Camp Chief Yue and I grew up in the same compound, I heard that he had an accident, I came to take a look, how about the operation?"

Zhong Yu said calmly: "The postoperative effect is good, I used the metacarpal side flap of the transverse branch of the finger to repair the finger defect."

Ji Xueli frowned and said, "I don't seem to have heard of this surgical method, tell me more about it later."

Obviously, he has plenty of time at this time, and Zhong Yu is happy to talk to him.

Yue Qiming was just a little interested in Zhong Yu, but when he turned his head, he found that she was a little familiar with Ji Xueli, and asked half-jokingly: "Third Brother Ji, who are you two talking about?"

The corners of Ji Xueli's mouth rose, and he nodded in acknowledgement in a good mood.

"We haven't been together for a long time, you should call your sister-in-law!"

Yue Qiming had the urge to scold his mother, the numbing strength had not passed at this time, he was not so painful, but he still had the leisure to say sour things.

"You still have vision, but Dr. Zhong is still unmarried, so it's a little inappropriate to call your sister-in-law, right?"

Ji Xueli is not sensitive enough to the things next to him, but he cares more about Zhong Yu's affairs than anyone else, squinting slightly and saying in an unkind tone:

"Anyway, we are not related by blood, and it is not appropriate for you to call me the third brother, just call me by my name."

The people who came out of their compound were the most affectionate, and not letting him call the third brother was tantamount to letting him break off relations with the Ji family, he hurriedly said:

"Third brother and sister-in-law, forgive me, Qiming is in pain, don't be surprised!"

Ji Xueli gave him a look that counted you as acquaintance, Zhong Yu looked funny, but he also noticed the word compound, and thought in his heart that Ji Xueli's family background was probably not simple, and he didn't have any other ideas.

Ji Xueli turned his head and asked gently, "Is there anything else he needs to explain?"

Zhong Yu shook his head and said to the nurse in the emergency department:

"Just follow the usual care, and the stitches will be removed in about two weeks."

Ji Xueli said mercilessly: "Then let's go first."

He was very possessive and took Zhong Yu's hand and left, leaving Yue Qiming to sigh, and when he came back to his senses, he kicked the little soldier who was squatting angrily, and said angrily:

"Haven't seen enough? Why don't you push me back to the ward, something that doesn't have eyesight! ”

The little soldier pursed his lips and whispered: "The battalion commander will make me angry when he eats deflated, and I am not a punching bag."

Yue Qiming glared at him with one eye, and said compassionately: "If you are verbose again, Lao Tzu will punish you for running~"

The little warrior dared not speak angrily, and followed him silently.

Ji Xueli took Zhong Yu to his office, called home in front of Zhong Yu, and hung up after informing his parents of the situation.

"The old people don't know where they know about this, they also care about the children of their old comrades-in-arms, and this incident does have a great impact on his career."

Zhong Yu couldn't figure out the doorway here, so he only smiled lightly.

"Camp Chief Yue will recover soon, let the old man not worry, let's go eat first."

The two of them walked together openly, and their behavior was not too intimate, but they could also make people see that the relationship was not ordinary.

Regarding whether to make their relationship public, the two have never deliberately discussed, in fact, love is the same as coughing, they can't help it.

Maybe there has been gossip in the hospital, but the two parties don't care about it, and they never hide it.

When they went to the cafeteria, they also ran into Chu Jianwen, she rushed to Zhong Yu's side in a hurry, looked up and saw Ji Xueli passing by with a plate, and immediately turned around and walked away as if nothing had happened.

Zhong Yu was amused by her cowardice, and when he saw her laughing, Ji Xueli was puzzled and asked, "What are you laughing at?"

After taking the soup bowl he handed over, Zhong Yu opened his mouth to explain.

"Just now Jianwen thought I came alone, and was about to walk to my side, when he saw you, it was like a mouse seeing a cat, and he turned around and ran away."

Ji Xueli subconsciously looked around looking for someone, and he said mildly:

"She usually choreographs me in front of you, doesn't she?"

Zhong Yu took a sip of the soup and quickly shook his head.

"She said that you are a neurosurgery god, but she is a little too afraid of you, so I tossed her during the internship period."

Ji Xueli has high requirements for himself and is not soft on his colleagues.

"She has the ability, but her personality is too casual and lazy, if I don't give her a tight skin, she may not be able to stay."

Zhong Yu nodded understandingly, their profession does not tolerate any mistakes, and it is understandable for Ji Xueli to do this.

Ji Xueli first sandwiched Zhong Yu's favorite side dishes into her bowl, and then ate them himself, and said while eating:

"Tell me first, what is the saying of the metacarpal transverse branch flap to repair the finger defect."

Zhong Yu sometimes sighs that these two workaholics get together, and if they really get married in the future, they don't know who will take care of the family.

She lowered her voice and explained:

"The repair of the finger defect should restore good sensation as much as possible, have a reliable finger fat pad, do not further shorten the length of the injured finger and have good interphalangeal joint movement after surgery.

Ji Xueli listened carefully, nodded thoughtfully, and motioned for Zhong Yu to continue.

"In addition to the pedicle flap of the terminal dorsal branch of the propina artery, the transverse branch flap of the palm is the most slender and well-known vascular pedicle flap known so far. The advantage is that the flap does not have to damage the main artery of the finger artery; The flap design is easy to incision, and the completion time of the operation is 40~60 minutes, and the repair surgery can be completed in one stage; The blood supply to the flap is constant, and depending on the anatomical position, the flexion of the distal interdigital joint is not affected by lifting the flap in the absence of injury.

The transverse phalangeal vessels have 3 constant branches that branch from the digital artery in different anatomical plane segments.

Therefore, the flap can be designed as the pedicle in any of its branches, which is a large random flap donor area, and as long as the proximal edge of the wound is far from the flexion of the distal interphalangeal joint, the distal and middle branch pedicle flaps can be safely used.

The donor valve area or tomographic skin or full-thickness skin grafting has better wear resistance and anti-contracture ability after surgery. ”

Zhong Yu took a sip of the soup and continued to add:

"The fingertip is one of the most sensitive tactile areas and is the most important point of providing finger grip force, and this surgical method uses a flap on the palmar side of the middle segment to carry good fat pads and sensory innervation tissue to repair the finger tips, so this surgical method is more suitable for the needs of finger tip and finger tip repair."

After listening to her, Ji Xueli admired her professional knowledge reserves.

He said seriously: "Perhaps, you will only be a surgeon and be a genius."

Zhong Yu said with a smile: "What position does Dean Ji think is the most suitable position for me?"

Ji Xueli and Honor:

"I found that you can not only stand alone in the operating room, but also quite suitable for the position of teaching and research, with your academic qualifications and all aspects of literacy, you can go to the First Military Medical University as a visiting professor."

Zhong Yu said in his heart, you are quite discerning. (End of chapter)